INDIANOLA CLINIC, LLC
NPI 1679673917
Clinic/Center - Federally Qualified Health Center (FQHC) in Leland, MS
About Indianola Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INDIANOLA CLINIC, LLC (NPI 1679673917), doing business as Leland Medical Clinic, is a healthcare organization registered as a federally qualified health center (fqhc) in Leland, Mississippi and active in the NPI registry since September 2006. The organization lists Amy Mcintire, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Indianola Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Indianola Clinic, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 10 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (13)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Indianola Clinic, LLC's NPI number?
The NPI number for Indianola Clinic, LLC is 1679673917. It was assigned to this organization in the NPPES registry on September 25, 2006. The provider is doing business as Leland Medical Clinic.
Where is Indianola Clinic, LLC located?
Indianola Clinic, LLC is located at 201 Baker Blvd, Leland, MS 38756. The listed phone number is (662) 686-4121.
What is Indianola Clinic, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Indianola Clinic, LLC enrolled in Medicare?
Yes. Indianola Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Indianola Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 6 Medicare specialties reassign their Medicare billing to Indianola Clinic, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6), Mental Health Counselor (3) and Dentist (1). Of these, 3 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Indianola Clinic, LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Indianola Clinic, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Indianola Clinic, LLC was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Indianola Clinic, Llc · NPI 1679673917
Federally Qualified Health Center (FQHC) organization in Leland, Mississippi. Organization record, active in the CMS NPPES registry since September 25, 2006.
## Identity
- **NPI:** 1679673917 (Entity type: Organization)
- **Enumerated:** September 25, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Leland Medical Clinic (Doing Business As)
- **Organization subpart:** Yes (part of Delta Health Alliance, Inc.)
- **Authorized official:** Amy Mcintire, DIRECTOR
## Practice location
- **Address:** 201 BAKER BLVD, Leland, MS 38756-3401
- **Phone:** (662) 686-4121 · **Fax:** (662) 686-4770
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Mental Health Counselor (3), Dentist (1); 3 practice at this address and 10 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2026
- **Other identifiers:** Medicaid 200005767 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1679673917) · Data from the CMS NPPES public registry.